RAC Audit Defense

Have you been the unlucky subject of a RAC audit?  Are you being subjected to extrapolated recoupments and penalties?

Before you simply capitulate and pay them, it would be prudent to confirm their findings.  Writing a small check to The Coding Network might eliminate or reduce a large check to these “bounty hunters.”  Their auditors may not be intimately familiar with your specialty, and their commission-only structure certainly gives them an incentive to assert that you’ve made coding errors or that your records don’t support your claims.  There may be some gray areas in your charts that they interpret against you.  We can audit the same encounters or operations they examined, and our findings may give you the ammunition you need to mount a credible defense.

Call 888-CODE-MED to learn more.

Latest Blog Posts:

Medical Coding Compliance: The Good, the Bad, and the Ugly

September 7th, 2024|Comments Off on Medical Coding Compliance: The Good, the Bad, and the Ugly

In today's complex healthcare landscape, maintaining coding compliance is more crucial than ever. Recent developments from the Department of Justice (DOJ), including the launch of the Corporate Whistleblower Awards Pilot Program (CWAPP), have further emphasized [...]

The DOJ’s New Whistleblower Program: A Vital Step for Medical Coding Compliance

August 8th, 2024|Comments Off on The DOJ’s New Whistleblower Program: A Vital Step for Medical Coding Compliance

On August 1, 2024, the U.S. Department of Justice (DOJ) launched its Corporate Whistleblower Awards Pilot Program. This initiative is a significant development in the DOJ's efforts to uncover corporate misconduct, particularly in areas not [...]

Coding Compliance Audits: Uncovering Deficiencies and Solutions

March 7th, 2024|Comments Off on Coding Compliance Audits: Uncovering Deficiencies and Solutions

In an era where healthcare systems are intricately tied to digital platforms, meticulous coding accuracy cannot be a mere afterthought; it is an absolute necessity. Often overlooked, coding errors are the silent killers of compliance [...]

Outsourcing Medical Coding: The Key Advantages for Healthcare Providers

February 8th, 2024|Comments Off on Outsourcing Medical Coding: The Key Advantages for Healthcare Providers

Amid the complex labyrinth of healthcare administration, one area stands as a beacon of efficiency and cost-effectiveness—outsourcing medical coding. It brings an exhaustive list of benefits ranging from unburdening clinicians, reducing compliance exposure, minimizing claim [...]